BNB Speech Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SA12010 Issued in FL

Legal business name

BNB SPEECH THERAPY

Practice address

1067 Moosehead Dr
Orange Park, FL 32065-5242

Phone

(904) 304-0109

NPI assigned

Feb 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi Lynn Bussey, M.A., CCC-SLP

Title

Owner

Phone

(904) 304-0109

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Duffett, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1033578802
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455926400000",
    "number": "1407215338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 MOOSEHEAD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655242",
            "telephone_number": "904-304-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 MOOSEHEAD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655242",
            "telephone_number": "904-304-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNB SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-02-20",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-304-0109",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SA12010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Jeremy Blom, PHARM.D.
• Blount Support Services, Inc
• Laura Bloznalis, PT
• Mark Blum, M.D.
• Brionna Blunt
• Bob Hutchinson PA
• Bob McQueen, LMHC
• Jorg A Bober, DPM
• Alison Lynn Boden, PA-C
• Bodywerks LLC

• Hearing and Speech Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.